CN111887932A - Auxiliary positioning device for foot osteotomy - Google Patents
Auxiliary positioning device for foot osteotomy Download PDFInfo
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- 230000007423 decrease Effects 0.000 claims description 2
- 238000012937 correction Methods 0.000 abstract description 7
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- 210000002683 foot Anatomy 0.000 description 117
- 210000001872 metatarsal bone Anatomy 0.000 description 20
- 238000010586 diagram Methods 0.000 description 11
- 238000000034 method Methods 0.000 description 9
- 206010061159 Foot deformity Diseases 0.000 description 8
- 208000001963 Hallux Valgus Diseases 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 5
- 210000001906 first metatarsal bone Anatomy 0.000 description 5
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- 238000005516 engineering process Methods 0.000 description 2
- 210000004744 fore-foot Anatomy 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 210000003371 toe Anatomy 0.000 description 2
- 238000011179 visual inspection Methods 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
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- 210000001255 hallux Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000000878 metatarsophalangeal joint Anatomy 0.000 description 1
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- 239000010959 steel Substances 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
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Abstract
本发明属于足部截骨辅助定位技术领域,旨在解决现有足部截骨手术过程中足部截骨方向误差较大的问题。为此目的,本发明提供了一种足部截骨辅助定位装置,足部截骨辅助定位装置包括固定部、与固定部连接的位姿调节部以及设置于位姿调节部上的导向部,固定部用于固定待截骨的足部,位姿调节部用于调节导向部相对于足部的位置和朝向,导向部用于引导导针固定至足部。通过固定部、位姿调节部和导向部的协同作用,对于不同畸形程度的足部,均能够引导导针按照所需的位置和朝向固定至待截骨的足部,保证了导针的精确定位,从而保证了准确的截骨方向,达到理想的矫正效果。
The invention belongs to the technical field of auxiliary positioning of foot osteotomy, and aims to solve the problem of large error in the direction of foot osteotomy during the existing foot osteotomy operation. For this purpose, the present invention provides an auxiliary positioning device for foot osteotomy. The auxiliary positioning device for foot osteotomy includes a fixing part, a posture adjusting part connected with the fixing part, and a guiding part arranged on the posture adjusting part, The fixing part is used to fix the foot to be osteotomy, the posture adjusting part is used to adjust the position and orientation of the guide part relative to the foot, and the guide part is used to guide the guide pin to be fixed to the foot. Through the synergy of the fixing part, the posture adjusting part and the guiding part, for the feet with different degrees of deformity, the guide pin can be fixed to the foot to be osteotomy according to the required position and orientation, which ensures the accuracy of the guide pin Positioning, thus ensuring the accurate osteotomy direction and achieving the ideal correction effect.
Description
技术领域technical field
本发明属于足部截骨辅助定位技术领域,具体提供一种足部截骨辅助定位装置。The invention belongs to the technical field of auxiliary positioning of foot osteotomy, and specifically provides an auxiliary positioning device for foot osteotomy.
背景技术Background technique
前足疾病是临床上非常普遍的病患,其中最具代表性的是拇外翻畸形。由于长期穿高跟鞋对足前部形成长期的挤压,或者由于遗传等因素,拇外翻等前足部畸形在现代女性中较为常见,给患者的生活带来了很大的困扰。随着科技和医疗技术的不断进步,足部截骨手术成为了矫正足部拇外翻等足部畸形的主要方法之一。足部截骨手术术式众多,作为最为常见的一种,以下以拇外翻中的跖骨截骨矫形术为例来进行举例说明。Forefoot disease is a very common clinical patient, the most representative of which is hallux valgus deformity. Forefoot deformities such as hallux valgus are common in modern women due to the long-term compression of the front of the foot by wearing high-heeled shoes for a long time, or due to genetic and other factors, which brings great trouble to the patients' lives. With the continuous advancement of technology and medical technology, foot osteotomy has become one of the main methods to correct foot deformities such as hallux valgus. There are many types of foot osteotomy. As the most common one, the following is an example of metatarsal osteotomy in hallux valgus.
拇外翻畸形是指足部拇趾在第一跖趾关节处向外侧偏斜移位。通常,根据患者的病情,需要采用跖骨截骨手术,比如第一跖骨截断使其缩短并下移适当长度后固定,使跖骨远端相对于跖骨近端产生特定位移来实现畸形矫正。参照图1至图4来进行说明,其中图1是现有足部截骨手术中第一跖骨截断后的状态示意图,图2是现有足部截骨手术中截断的第一跖骨的两部分移动后的状态示意图,图3是现有足部截骨手术中去除第一跖骨上多余部分的状态示意图,图4是现有足部截骨手术中第一跖骨截断的两部分固定后的状态示意图。在足部截骨手术实施过程中,如图1所示,首先在第一跖骨上沿术前确定的特定方向切割两刀将第一跖骨1分成主干11和远端骨块12,主干11和远端骨块1在断开处分别形成“V”形脊和“V”形槽,“V”形脊和“V”形槽的延伸方向与正常足趾骨的轴线成一定夹角(如“V”形脊和“V”形槽的延伸方向朝向足部的足跟和足底方向倾斜);如图2所示,然后将远端骨块12沿着主干11的“V”形脊延伸的方向移动一定的距离,第一跖骨1的整体长度缩短并且远端骨块5相对主干4下移一定的距离;如图3所示,接下来使用摆锯2切除主干11上的多余部分;如图4所示,最后使用钢钉等固定件将主干11和远端骨块12固定。Hallux valgus deformity refers to the lateral deviation of the big toe of the foot at the first metatarsophalangeal joint. Usually, depending on the patient's condition, a metatarsal osteotomy is required, such as amputation of the first metatarsal to shorten it and move it down an appropriate length for fixation, so that the distal end of the metatarsal is displaced relative to the proximal end of the metatarsal to achieve deformity correction. 1 to 4 for description, wherein FIG. 1 is a schematic diagram of the state after the first metatarsal bone is cut off in the existing foot osteotomy, and FIG. 2 is the two parts of the first metatarsal bone cut off in the existing foot osteotomy. Figure 3 is a schematic diagram of the state after removal of the redundant part of the first metatarsal in the existing foot osteotomy, and Figure 4 is the state after the two parts of the first metatarsal cut off in the existing foot osteotomy are fixed. Schematic. During the implementation of foot osteotomy, as shown in Figure 1, firstly, two cuts are made on the first metatarsal along the specific direction determined before the operation to divide the
由于不同患者的畸形情况不同,需要使跖骨远端相对于跖骨近端产生的位移不同(包括不同方向以及不同距离),临床上采用控制截骨的方向和沿着截骨平面移动距离的方式来进行控制。例如,跖骨截骨方向仅在水平面内朝向足跟或者足趾的方向倾斜以便截骨矫正后缩短或延长跖骨长度,截骨方向仅在与正常足趾轴线垂直的平面内朝上或朝下倾斜截骨矫正后抬高或降低跖骨近端,或者截骨方向是前述两种情况的结合。然而,在截骨操作过程中,由于没有合适的确定方向的定量工具,经验丰富的医生凭经验决定截骨方向,直接进行截骨,这样,在科研和学术交流时,很难量化自己的经验,妨碍了交流;而经验相对欠缺的医生则在术中目测截骨方向后在第一跖骨1上打入导针(如图5所示,标记3示出了导针在示出的平面上的打入方向),然后参照导针的方向使用摆锯2将第一跖骨1截断,其实也无法量化自己的截骨方向,仅能靠自己的直觉积累经验,显然,这样会明显延长他们的学习曲线。由于不同患者的足部畸形情况复杂多样,不能量化数据,仅仅凭经验直接截骨以及通过目测方式打入导针来确定截骨方向均存在较大的误差,进而导致截骨后矫正最理想效果,甚至导致矫正手术失败的结果,同时,如果可以精确量化截骨方向,对于医生自己的经验积累以及医生之间的互相学习交流都会有事半功倍的效果。Due to the different deformities of different patients, it is necessary to make the displacement of the distal end of the metatarsal relative to the proximal end of the metatarsal different (including different directions and different distances). Take control. For example, the direction of the metatarsal osteotomy is inclined only in the horizontal plane toward the heel or toe to shorten or lengthen the length of the metatarsal bone after correction of the osteotomy, and the direction of the osteotomy is inclined upward or downward only in the plane perpendicular to the normal toe axis Elevation or lowering of the proximal metatarsal after corrective osteotomy, or the direction of the osteotomy is a combination of both. However, in the process of osteotomy, because there is no suitable quantitative tool for determining the direction, experienced doctors decide the direction of osteotomy based on experience and directly perform the osteotomy, so it is difficult to quantify their own experience in scientific research and academic exchanges. , hindering communication; while a relatively inexperienced doctor inserts a guide pin on the
因此,本领域需要一种新的技术方案来解决上述问题。Therefore, a new technical solution is needed in the art to solve the above problems.
发明内容SUMMARY OF THE INVENTION
为了解决现有技术中的上述问题,即为了解决现有足部截骨手术过程中足部截骨方向误差较大的问题,本发明提供了一种足部截骨辅助定位装置,所述足部截骨辅助定位装置包括固定部、与所述固定部连接的位姿调节部以及设置于所述位姿调节部上的导向部,其中,所述固定部用于固定待截骨的足部,所述位姿调节部用于调节所述导向部相对于所述足部的位置和朝向,所述导向部用于引导导针固定至所述足部。In order to solve the above problems in the prior art, that is, in order to solve the problem of large error in the direction of the osteotomy of the foot during the existing osteotomy of the foot, the present invention provides an auxiliary positioning device for the osteotomy of the foot. The partial osteotomy auxiliary positioning device comprises a fixed part, a posture adjustment part connected with the fixed part, and a guide part arranged on the posture adjustment part, wherein the fixed part is used for fixing the foot to be osteotomy , the posture adjusting part is used to adjust the position and orientation of the guide part relative to the foot part, and the guide part is used to guide the guide needle to be fixed to the foot part.
在上述足部截骨辅助定位装置的优选技术方案中,所述位姿调节部包括:第一调节组件,其连接于所述固定部,用于调节所述导向部沿所述足部的长度方向相对于所述足部的位置;第二调节组件,其连接至所述第一调节组件,用于调节所述导向部沿所述足部的厚度方向相对于所述足部的位置;第三调节组件,其连接至所述第二调节组件,用于调节所述导向部的朝向。In the preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the posture adjustment part includes: a first adjustment component, which is connected to the fixing part and used to adjust the length of the guide part along the foot part a direction relative to the position of the foot; a second adjustment assembly connected to the first adjustment assembly for adjusting the position of the guide relative to the foot along the thickness direction of the foot; Three adjustment assemblies, which are connected to the second adjustment assembly, are used to adjust the orientation of the guide portion.
在上述足部截骨辅助定位装置的优选技术方案中,所述第一调节组件包括可拆卸连接于所述固定部的导轨以及与所述导轨配合连接的第一移动构件,所述导轨位于所述固定部的一侧,所述第二调节组件连接至所述第一移动构件,所述导轨上设置有指示所述第一移动构件与所述导轨相对位置的第一刻度线,所述第一移动构件上设置有第一锁定构件,所述第一锁定构件用于锁定所述第一移动构件。In a preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the first adjustment component includes a guide rail detachably connected to the fixed portion and a first moving member that is cooperatively connected with the guide rail, and the guide rail is located at the On one side of the fixed part, the second adjustment assembly is connected to the first moving member, the guide rail is provided with a first scale line indicating the relative position of the first moving member and the guide rail, the A first locking member is provided on the first moving member, and the first locking member is used for locking the first moving member.
在上述足部截骨辅助定位装置的优选技术方案中,所述第二调节组件包括设置在所述第一移动构件上的立柱以及能够沿所述立柱的轴线方向移动的第二移动构件,所述第三调节组件连接至所述第二移动构件,所述立柱上设置有指示所述第二移动构件与所述立柱相对位置的第二刻度线,所述第二移动构件上设置有第二锁定构件,所述第二锁定构件用于锁定所述第二移动构件。In the preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the second adjustment assembly includes a column disposed on the first moving member and a second moving member that can move along the axis of the column, so The third adjustment assembly is connected to the second moving member, the upright is provided with a second scale line indicating the relative position of the second moving member and the upright, and the second moving member is provided with a second A locking member, the second locking member is used for locking the second moving member.
在上述足部截骨辅助定位装置的优选技术方案中,所述第三调节组件包括连杆,所述连杆的第一端与所述第二移动构件通过第三锁定构件枢转连接,所述导向部连接至所述连杆的第二端,所述连杆的第一端设置有用于指示所述连杆枢转角度的第三刻度线,所述第三锁定构件用于锁定所述连杆,其中,所述连杆的枢转轴线与所述立柱的轴线平行或者共线。In the preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the third adjustment component includes a connecting rod, and the first end of the connecting rod is pivotally connected to the second moving member through a third locking member, so The guide portion is connected to the second end of the connecting rod, the first end of the connecting rod is provided with a third graduation mark for indicating the pivoting angle of the connecting rod, and the third locking member is used for locking the connecting rod A connecting rod, wherein the pivot axis of the connecting rod is parallel or collinear with the axis of the column.
在上述足部截骨辅助定位装置的优选技术方案中,所述导向部与所述连杆的第二端通过第四锁定构件枢转连接,所述第四锁定构件上套设有用于指示所述导向部枢转角度的刻度环,所述第四锁定构件用于锁定所述导向部,其中,所述导向部的枢转轴线与所述连杆的枢转轴线垂直。In a preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the guide portion and the second end of the connecting rod are pivotally connected through a fourth locking member, and the fourth locking member is sleeved with an indicator for indicating the desired position. A scale ring for the pivoting angle of the guide portion, the fourth locking member is used to lock the guide portion, wherein the pivot axis of the guide portion is perpendicular to the pivot axis of the link.
在上述足部截骨辅助定位装置的优选技术方案中,所述导向部包括本体,所述本体上形成有允许所述导针穿过的通道。In a preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the guide portion includes a body, and a channel for allowing the guide pin to pass through is formed on the body.
在上述足部截骨辅助定位装置的优选技术方案中,所述通道末端的截面积沿所述导针的穿过方向逐渐减小。In the preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the cross-sectional area of the end of the channel gradually decreases along the passing direction of the guide pin.
在上述足部截骨辅助定位装置的优选技术方案中,所述固定部包括固定连接或者一体成型的第一固定构件和第二固定构件,所述第一固定构件和所述第二固定构件分别用于固定所述足部和对应的腿部。In a preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the fixing portion includes a first fixing member and a second fixing member that are fixedly connected or integrally formed, and the first fixing member and the second fixing member are respectively for securing the foot and the corresponding leg.
在上述足部截骨辅助定位装置的优选技术方案中,所述第一固定构件上开设有多个镂空孔,所述导轨与部分所述镂空孔之间通过连接构件连接。In the preferred technical solution of the above-mentioned auxiliary positioning device for foot osteotomy, the first fixing member is provided with a plurality of hollow holes, and the guide rail and some of the hollow holes are connected by connecting members.
本领域技术人员能够理解的是,在本发明的技术方案中,足部截骨辅助定位装置包括固定部、与固定部连接的位姿调节部以及设置于位姿调节部上的导向部,在对足部进行截骨手术过程中,借助足部截骨辅助定位装置,将待截骨的足部固定至固定部,通过位姿调节部调节导向部相对于足部的位置和朝向,之后通过导向部引导导针按照所需的位置和方向固定至足部,保证了导针固定位置及其朝向的精确度,进而依靠导针引导医生按照精确的方向进行截骨,避免了凭借经验直接截骨或者以目测方式确定导针固定方位和朝向而导致截骨角度偏差较大的问题,进而达到了理想的矫正效果。不同患者的足部尺寸不同,并且足部畸形情况也存在不同,医生可以根据具体情况方便地调节导向部相对于足部的位置和方向,从而引导导针按照合适的方位固定至足部,满足了不同截骨方向的定位和定向需求,适用范围广泛。Those skilled in the art can understand that, in the technical solution of the present invention, the auxiliary positioning device for foot osteotomy includes a fixing part, a posture adjusting part connected with the fixing part, and a guiding part arranged on the posture adjusting part. During the osteotomy of the foot, the foot to be osteotomy is fixed to the fixed part with the aid of the foot osteotomy auxiliary positioning device, the position and orientation of the guide part relative to the foot are adjusted by the posture adjustment part, and then the The guide part guides the guide pin to be fixed to the foot according to the required position and direction, which ensures the accuracy of the fixed position and orientation of the guide pin, and then relies on the guide pin to guide the doctor to perform the osteotomy according to the precise direction, avoiding the need for direct cutting by experience. Osteotomy or visually determine the fixed orientation and orientation of the guide pin, which leads to the problem of large deviation of the osteotomy angle, thereby achieving the ideal correction effect. Different patients have different foot sizes and different foot deformities. The doctor can easily adjust the position and direction of the guide part relative to the foot according to the specific situation, so that the guide needle can be fixed to the foot according to the appropriate orientation. It can meet the positioning and orientation requirements of different osteotomy directions, and has a wide range of applications.
附图说明Description of drawings
下面参照附图来描述本发明的优选实施方式,附图中:Preferred embodiments of the present invention are described below with reference to the accompanying drawings, in which:
图1是现有足部截骨手术中第一跖骨截断后的状态示意图;Fig. 1 is the state schematic diagram after the first metatarsal is cut off in the existing foot osteotomy;
图2是现有足部截骨手术中截断的第一跖骨的两部分移动后的状态示意图;Fig. 2 is the state schematic diagram after the movement of two parts of the first metatarsal bone cut off in the existing foot osteotomy;
图3是现有足部截骨手术中去除第一跖骨上多余部分的状态示意图;Fig. 3 is the state schematic diagram of removing the redundant part on the first metatarsal bone in the existing foot osteotomy;
图4是现有足部截骨手术中第一跖骨截断的两部分固定后的状态示意图;Fig. 4 is the state schematic diagram of the two parts of the first metatarsal cut off in the existing foot osteotomy after fixation;
图5是现有足部截骨手术中借助导针确定截骨方向的状态示意图;Fig. 5 is the state schematic diagram of determining the osteotomy direction with the help of a guide pin in the existing foot osteotomy operation;
图6是本发明一种实施例的足部截骨辅助定位装置的结构示意图一;6 is a first structural schematic diagram of a foot osteotomy auxiliary positioning device according to an embodiment of the present invention;
图7是本发明一种实施例的足部截骨辅助定位装置的结构示意图二;7 is a second structural schematic diagram of a foot osteotomy auxiliary positioning device according to an embodiment of the present invention;
图8是本发明一种实施例的足部截骨辅助定位装置的侧视示意图。8 is a schematic side view of a foot osteotomy auxiliary positioning device according to an embodiment of the present invention.
附图标记列表:List of reference numerals:
1、第一跖骨;11、主干;12、远端骨块;2、摆锯;3、导针打入方向;4、固定部;41、足部固定板;411、第一镂空孔A;412、第一镂空孔B;42、腿部固定板;421、第二镂空孔;5、位姿调节部;51、第一调节组件;511、支撑臂;512、圆柱滑轨;513、滑块;514、螺钉;515、第一刻度线;52、第二调节组件;521、圆柱;522、环形卡箍;523、悬臂;524、第一拧紧螺钉;525、第二刻度线;53、第三调节组件;531、连杆;532、第二拧紧螺钉;533、第三刻度线;534、支板;535、第三拧紧螺钉;536、刻度环;537、卡钩;6、导向部。1. The first metatarsal; 11. The trunk; 12. The distal bone fragment; 2. The saw; 3. The insertion direction of the guide pin; 412, the first hollow hole B; 42, the leg fixing plate; 421, the second hollow hole; 5, the posture adjustment part; 51, the first adjustment component; 511, the support arm; 512, the cylindrical slide rail; Block; 514, screw; 515, first scale line; 52, second adjustment component; 521, cylinder; 522, ring clamp; 523, cantilever; 524, first tightening screw; 525, second scale line; 53 531, the connecting rod; 532, the second tightening screw; 533, the third scale line; 534, the support plate; 535, the third tightening screw; 536, the scale ring; 537, the hook; 6, the guide department.
具体实施方式Detailed ways
首先,本领域技术人员应当理解的是,下面描述的实施方式仅仅用于解释本发明的技术原理,并非旨在限制本发明的保护范围。例如,虽然本发明的足部截骨辅助定位装置的固定部中的第一定位构件和第二定位构件是一体成型的,但是本领域技术人员可以根据需要对其作出调整,以便适应具体的应用场合,如固定部中的第一定位构件和第二定位构件可以单独成型后通过焊接、铆接、螺接等方式固定连接在一起。显然,调整后的技术方案仍将落入本发明的保护范围。First of all, those skilled in the art should understand that the embodiments described below are only used to explain the technical principle of the present invention, and are not intended to limit the protection scope of the present invention. For example, although the first positioning member and the second positioning member in the fixing portion of the auxiliary positioning device for foot osteotomy of the present invention are integrally formed, those skilled in the art can adjust them as required to suit specific applications In some occasions, for example, the first positioning member and the second positioning member in the fixing portion may be separately formed and then fixed and connected together by welding, riveting, screwing, or the like. Obviously, the adjusted technical solution will still fall within the protection scope of the present invention.
需要说明的是,在本发明的描述中,术语“上”、“下”、“左”、“右”等指示方向或位置关系的术语是基于附图所示的方向或位置关系,这仅仅是为了便于描述,而不是指示或暗示所述装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”、“第四”仅用于描述目的,而不能理解为指示或暗示相对重要性。It should be noted that, in the description of the present invention, the terms “upper”, “lower”, “left”, “right” and other terms indicating a direction or a positional relationship are based on the direction or positional relationship shown in the drawings, which are only It is for ease of description, not to indicate or imply that the device or element must have a particular orientation, be constructed and operate in a particular orientation, and therefore should not be construed as limiting the invention. Furthermore, the terms "first," "second," "third," and "fourth" are used for descriptive purposes only and should not be construed to indicate or imply relative importance.
此外,还需要说明的是,在本发明的描述中,除非另有明确的规定和限定,术语“安装”、“设置”、“相连”、“连接”应作广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体连接;可以是直接相连,也可以通过中间媒介间接相连,还可以是两个元件内部的连通。对于本领域技术人员而言,可根据具体情况理解上述术语在本发明中的具体含义。In addition, it should be noted that, in the description of the present invention, unless otherwise expressly specified and limited, the terms "installed", "arranged", "connected" and "connected" should be understood in a broad sense, for example, it may be fixed The connection can also be a detachable connection or an integral connection; it can be a direct connection, an indirect connection through an intermediate medium, or an internal connection between two elements. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.
基于背景技术指出的现有足部截骨手术过程中足部截骨方向误差较大的问题,本发明提供了一种足部截骨辅助定位装置,旨在引导导针按照准确的位置和朝向固定至待截骨的足部。具体地,本发明的足部截骨辅助定位装置包括固定部、与固定部连接的位姿调节部以及设置于位姿调节部上的导向部,固定部用于固定待截骨的足部,位姿调节部用于调节导向部相对于足部的位置和朝向,导向部用于引导导针固定至足部。借助本发明的足部截骨辅助定位装置,在截骨操作之前,将待截骨的足部固定至固定部,之后通过调节位姿调节部来调节导向部相对于足部的位置和朝向,在引导部的引导作用下,将导针按照准确的位置和朝向固定至足部。在截骨操作过程中,使用摆锯等截骨工具参照导针的方向进行截骨。Based on the problem of the large error in the direction of the osteotomy of the foot during the existing osteotomy of the foot pointed out in the background art, the present invention provides an auxiliary positioning device for the osteotomy of the foot, which aims to guide the guide needle according to the accurate position and orientation Fixed to the foot to be osteotomy. Specifically, the auxiliary positioning device for foot osteotomy of the present invention comprises a fixing part, a posture adjusting part connected with the fixing part, and a guiding part arranged on the posture adjusting part, and the fixing part is used for fixing the foot to be osteotomy, The posture adjustment part is used to adjust the position and orientation of the guide part relative to the foot, and the guide part is used to guide the guide needle to be fixed to the foot. With the aid of the foot osteotomy auxiliary positioning device of the present invention, before the osteotomy operation, the foot to be osteotomy is fixed to the fixing part, and then the position and orientation of the guide part relative to the foot are adjusted by adjusting the posture adjustment part, Under the guidance of the guide part, the guide needle is fixed to the foot according to the exact position and orientation. During the osteotomy operation, use an osteotomy tool such as an oscillating saw to perform the osteotomy with reference to the direction of the guide wire.
将待截骨的足部固定至固定部,避免了足部在截骨操作过程中出现意外偏移而导致截骨方向发生偏移。通过固定部、位置调整部和导向部的协同作用,对于不同畸形程度的足部,均能够通过调节导向部相对于足部的位置和朝向,使导向部引导导针按照准确的位置和方向固定至待截骨的足部,保证了导针的精确定位和定向,从而在截骨时保证了准确的截骨方向,进而达到理想的矫正效果。Fixing the foot to be osteotomy to the fixing part avoids the accidental displacement of the foot during the osteotomy operation, which leads to the displacement of the osteotomy direction. Through the synergy of the fixed part, the position adjustment part and the guide part, for feet with different degrees of deformity, the position and orientation of the guide part relative to the foot can be adjusted, so that the guide part can guide the guide needle according to the accurate position and direction. To the foot to be osteotomy, the precise positioning and orientation of the guide pin is ensured, thereby ensuring the accurate osteotomy direction during the osteotomy, thereby achieving an ideal correction effect.
下面参照图6至图8,对本申请的足部截骨辅助定位装置进行详细介绍。其中,图6是本发明一种实施例的足部截骨辅助定位装置的结构示意图一,图7是本发明一种实施例的足部截骨辅助定位装置的结构示意图二,图8是本发明一种实施例的足部截骨辅助定位装置的侧视示意图。6 to 8 , the auxiliary positioning device for foot osteotomy of the present application will be described in detail. 6 is a schematic structural diagram 1 of an auxiliary positioning device for foot osteotomy according to an embodiment of the present invention, FIG. 7 is a schematic structural diagram 2 of an auxiliary positioning device for foot osteotomy according to an embodiment of the present invention, and FIG. A schematic side view of a foot osteotomy auxiliary positioning device according to an embodiment of the invention.
如图6至图8所示,足部截骨辅助定位装置包括固定部4、与固定部4连接的位姿调节部5以及设置于位姿调节部5上的导向部6,固定部4包括一体成型的第一固定构件和第二固定构件,第一固定构件为用于固定待截骨足部的足部固定板41,第二固定构件为用于固定对应腿部的腿部固定板42,足部固定板41上分布有多个第一镂空孔,第一镂空孔包括靠近足部固定板41两端的两个第一镂空孔A(411)以及分布在足部固定板41上的多个第一镂空孔B(412),腿部固定板42上分布有多个第二镂空孔421。在将足部抵靠至足部固定板41时,用绷带/橡胶带/弹力带等穿过足部四周的第一镂空孔B(412)并将足部绑紧固定至足部固定板41。同样地,对应的腿部抵靠至腿部固定板42时,用绷带/橡胶带/弹力带等穿过腿部四周的第二镂空孔421并将腿部绑紧固定至腿部固定板42。As shown in FIGS. 6 to 8 , the auxiliary positioning device for foot osteotomy includes a fixing
通过足部固定板41上分布有多个第一镂空孔B(412),腿部固定板42上分布有多个第二镂空孔421,能够根据患者的足部大小和腿部粗细来选择不同的第一镂空孔B412和第二镂空孔421来穿过绷带/橡胶带/弹力带等来满足不同尺寸的足部和腿部的固定。同时,这些镂空孔也减轻了固定部的重量,方便安装和拆卸。A plurality of first hollow holes B ( 412 ) are distributed on the
可以理解的是,第一固定构件和第二固定构件一体成型仅是一种具体的实施方式,本领域技术人员可以根据实际需要进行调整,如第一定位构件和第二定位构件可以单独成型后通过焊接、铆接、螺接等方式固定连接在一起。这种灵活地调整和改变并不偏离本发明的原理和范围,均在本发明的保护范围之内。It can be understood that the integral molding of the first fixing member and the second fixing member is only a specific embodiment, and those skilled in the art can make adjustments according to actual needs. For example, the first positioning member and the second positioning member can be formed separately. They are fixed and connected together by welding, riveting, screwing, etc. Such flexible adjustments and changes do not deviate from the principle and scope of the present invention, and are all within the protection scope of the present invention.
继续参照图6至图8,位姿调节部5包括连接至固定部4的第一调节组件51、连接至第一调节组件51的第二调节组件52以及连接至第二调节组件52的第三调节组件53,第一调节组件51用于调节导向部6沿足部的长度方向相对于足部的位置,第二调节部件52用于调节导向部6沿足部的厚度方向相对于足部的位置,第三调节部件用于调节导向部6的朝向。Continuing to refer to FIGS. 6 to 8 , the
具体地,第一调节组件51包括支撑臂511、导轨和第一移动构件。在足部固定板41底部靠近两端的位置,两个支撑臂511的一端分别通过连接件(如螺钉)与第一镂空孔A(411)配合从而固定至足部固定板41,另一端伸出至足部固定板41的一侧。两个支撑臂511之间连接有导轨,导轨上配合连接有第一移动构件。例如导轨包括两条平行的圆柱滑轨512,两条圆柱滑轨512的两端分别固定至两个支撑臂511伸出足部固定板41的一端。第一移动构件为滑块513,滑块513与两条圆柱滑轨512滑动连接,滑块513的侧部设置有第一锁定构件(如螺钉514),远离足部固定板41的圆柱滑轨212的表面设置有第一刻度线215,操作者可以根据第一刻度线215使滑块213沿足部的长度方向相对于圆柱滑轨212移动所需的距离。两个支撑臂511与足部固定板41通过螺钉等连接件可拆卸地连接,能够方便地根据需要将第一调节组件中的导轨固定至足部固定板41的左侧或右侧,从而适用于左足或右足的截骨辅助定位。Specifically, the
进一步地,在一种可行的实施方式中,支撑臂511上还可以设置定位柱,定位柱的截面尺寸与足部固定板41上的第一镂空孔B(412)的尺寸相同,在将支撑臂511固定至足部固定板41时,通过定位柱穿入部分第一镂空孔B(412),并通过螺钉等紧固件与第一镂空孔A(411)配合将支撑臂511与足部固定板41固定在一起。Further, in a feasible implementation manner, a positioning column may also be provided on the
定位柱与部分第一镂空孔B(412)的配合,能够使支撑臂511与足部固定板41的固定连接更加可靠。The cooperation between the positioning post and part of the first hollow hole B ( 412 ) can make the fixed connection between the
仍然参照图6至图8,第二调节组件52包括设置在滑块513上的立柱(如圆柱521)以及能够沿立柱的轴线方向移动的第二移动构件,第二移动构件包括环形卡箍522以及与环形卡箍522一体成型的悬臂523,环形卡箍522套设在圆柱521上,既能够沿圆柱521的轴向上下移动,又能够绕圆柱521的轴线转动,环形卡箍522的开口处设置有第二锁定构件,如第一拧紧螺钉524,借助第一拧紧螺钉524能够使环形卡箍522卡紧圆柱521从而锁定环形卡箍522与圆柱521的相对位置。在圆柱521上设置有指示圆形卡箍522与圆柱521在竖向的相对位置的第二刻度线545,操作者可以根据第二刻度线545使环形卡箍522在竖直方向上相对于圆柱521移动所需的距离。Still referring to FIGS. 6 to 8 , the second adjusting
还参照图6至图8,第三调节组件53包括连杆531,连杆531的第一端与悬臂523的自由端通过第三锁定构件枢转连接,连杆531的枢转轴线与圆柱221的轴线平行。具体地,连杆531的第一端设置有通孔,悬臂523的自由端设置有螺纹孔,第三锁定构件为第二拧紧螺钉532,第二拧紧螺钉532穿过连杆531的第一端的通孔并且其部分螺纹段拧入悬臂523的自由端的螺纹孔,在未拧紧的状态下,连杆523能够绕第二拧紧螺钉532转动。连杆531的第一端形成圆弧面,圆弧面上设置有用于指示二者枢转角度的第三刻度线523,操作者可以根据第三刻度线523使连杆513相对于悬臂523枢转所需的角度。在连杆513相对于悬臂523旋转至所需的角度后,继续拧入第二拧紧螺钉532的螺纹段从而拧紧第二拧紧螺钉532,将连杆531与悬臂523通过摩擦力紧固在一起,从而锁定连杆532。6 to 8, the
可以理解的是,上述设置方式仅是一种具体的设置方式,本领域技术人员可以将第三固定构件设置成彼此配合的螺栓和螺母,连杆531的第一端和悬臂523的自由端均设置通孔,螺栓穿过二者的通孔并与螺母螺纹连接。It can be understood that the above setting method is only a specific setting method. Those skilled in the art can set the third fixing member as a bolt and a nut that cooperate with each other. The first end of the connecting
仍参照图6至图8,导向部6与连杆531的第二端通过第四锁定构件枢转连接,导向部6的枢转轴线与连杆531的轴线垂直。具体地,导向部6为导向筒,导向筒包括柱状的本体以及形成在本体上允许导针穿过的通道,通道的末端的截面积沿导针的穿过方向逐渐减小,以便于导针精准定位。连杆531的第二端上设置竖直向上延伸的支板534,支板534上形成有通孔,第四锁定构件为第三拧紧螺钉535,第三拧紧螺钉535穿过支板534上的通孔,第三拧紧螺钉535的螺纹段的一部分拧入刻度环536的螺纹孔,刻度环536的外圈上设置有第四刻度线,刻度环536远离支板534的一侧固定连接有卡钩537,导向筒通过卡钩537与刻度环536固定连接,此时导向筒、刻度环536以及第三拧紧螺钉535可以同步旋转。操作者可以根据刻度环536上的第四刻度线同步旋转导向筒、刻度环536以及第三拧紧螺钉535,使导向筒枢转设定的角度后,固定刻度环536不动,将第三拧紧螺钉535的螺纹段继续拧入刻度环536的螺纹孔,使刻度环536与支板534通过摩擦力紧固在一起,从而锁定导向筒。Still referring to FIGS. 6 to 8 , the
通过调节第一调节组件51、第二调节组件52和第三调节组件53,三者协同作用使导向筒到达所需的位置和朝向,之后将导针从导向筒的通道穿过并将导针按照该位置和朝向固定至足部。位姿调节部5设置成包括第一调节组件51、第二调节组件52和第三调节组件53,三者协同作用,使导向部6相对于足部的位置和朝向丰富多样,能够在很大程度上满足不同足部截骨手术所需的导针定位需求,适用范围广。通过第一调节组件51、第二调节组件52和第三调节组件53中的刻度线和刻度环的指示,使得导向部调整的位置和方向的相关数据能够精确量化并得以积累,从而便于医生自己经验的积累总结以及不同医生之间的交流学习。By adjusting the first adjusting
本领域技术人员可以理解的是,在一种可替换的实施方式中,位姿调节部可以仅包括上述实施例中的第三调节组件53、仅包括上述实施例中的第一调节组件51和第三调节组件53、或者仅包括上述实施例中的第二调节组件52和第三调节组件53,并将连接位置进行适应性地调整,调整后的实施方式同样能够调节导向部6相对于足部的位置和朝向,只不过导向部6相对于足部的位置和朝向不如上述实施例中的导向部6相对于足部的位置和方向丰富多样,使用范围相对窄一些。It can be understood by those skilled in the art that, in an alternative embodiment, the pose adjustment part may only include the
上述设置方式中,第一调节组件51包括连接在足部固定板41底部的两个支撑臂511上的两条圆柱滑轨512以及与圆柱滑轨512滑动配合的滑块513,第二调节组件52包括设置在滑块513上的立柱(如圆柱521)以及能够沿立柱的轴线移动的第二移动构件。通过这样的设置,能够使位姿调节部5的结构更加小巧便捷,方便安装和使用。In the above arrangement, the
本领域技术人员可以理解的是,第一调节组件和第二调节组件的上述设置方式仅是一种较为优选的设置方式,在一种可能的设置方式中,可以将第一调节组件设置成用于调节导向部沿足部的厚度方向相对于足部的位置,第二调节组件设置成用于调节导向部沿足部的长度方向相对于足部的位置,例如第一调节组件包括固定至足部固定板41靠近两端的两条竖向导轨,两条竖向导轨上分别配置一个竖向滑块,两个竖向滑块之间固定连接水平滑轨,水平滑轨上设置水平滑块,第三调节组件的连杆的一端与该水平滑块枢转连接。只不过该结构整体相对复杂。此外,第一调节组件中的导轨和第一移动构件不局限于上述实施例中的结构,如导轨可以是方形滑轨、燕尾形滑轨等,第二移动构件为与滑轨的形状匹配设置的滑块;在一种可行的实施例中,导轨可以是枢转连接至支撑臂的滚珠丝杠,第一移动构件为与滚珠丝杠配合的螺母,通过旋转滚珠丝杠使螺母沿丝杠的轴向移动。It can be understood by those skilled in the art that the above-mentioned setting method of the first adjustment component and the second adjustment component is only a relatively preferred setting method. In a possible setting method, the first adjustment component can be set to For adjusting the position of the guide portion relative to the foot along the thickness direction of the foot, the second adjustment assembly is configured to adjust the position of the guide portion relative to the foot along the length direction of the foot. The
第二调节组件52中的立柱为圆柱521,第二移动构件包括环形卡箍522以及与环形卡箍522一体成型的悬臂523,环形卡箍522套设在圆柱521上,这样不仅能够使环形卡箍522沿圆柱521的轴向上下移动,还能够使环形卡箍522绕圆柱221的轴线转动,连杆531与悬臂523枢转连接,二者枢转轴与圆柱521的轴线平行,环形卡箍522能够绕圆柱521的轴线转动,通过两个枢转结构的配合,能够使连杆531和导向部沿同时垂直于圆柱521和圆柱滑轨512的轴线的方向平移,提高了导向部的位置和朝向调节范围,进而扩大适用范围。The upright column in the second adjusting
本领域技术人员可以理解的是,第二移动构件可以仅包括环形卡箍522,环形卡箍522仅能够沿圆柱521的轴向上下移动,连杆531的第一端与环形卡箍522枢转连接,连杆531的枢转轴与圆柱521的轴线共线。当第一移动构件设置成仅能够沿立柱的轴向移动时,立柱可以是三棱柱、四棱柱、六棱柱等。Those skilled in the art can understand that the second moving member may only include the
导向筒通过卡接方式固定至刻度环536,能够更换不同规格的导向筒,从而便于引导不同规格的导针。导向筒作为导向部6仅是一种具体的设置方式,本领域技术人员可以根据需要对其作出调整,如导向部也可以是包括长方体的本体,本体中部贯穿有通孔或者贯穿有截面形状为优弧形的通道。The guide cylinder is fixed to the
通过以上描述可以看出,在本发明的技术方案中,通过固定部能够将待截骨的足部固定至固定部,避免足部在截骨操作过程中出现意外偏移而导致截骨方向发生偏移,通过固定部、位姿调节部和导向部的协同作用,对于不同畸形程度的足部,均能够引导导针按照所需的位置和朝向固定至待截骨的足部,保证了导针固定位置及其朝向的精确度,进而保证了准确的截骨方向,达到理想的矫正效果。It can be seen from the above description that, in the technical solution of the present invention, the foot to be osteotomy can be fixed to the fixing portion by the fixing portion, so as to avoid the accidental deviation of the foot during the osteotomy operation and the occurrence of the osteotomy direction. Offset, through the synergy of the fixing part, the posture adjusting part and the guiding part, for the feet with different degrees of deformity, the guide pin can be fixed to the foot to be osteotomy according to the required position and orientation, ensuring the guiding The accuracy of the fixed position of the needle and its orientation ensures an accurate osteotomy direction and achieves an ideal correction effect.
本领域的技术人员能够理解,尽管在此所述的一些实施例包括其它实施例中所包括的某些特征而不是其它特征,但是不同实施例的特征的组合意味着处于本发明的范围之内并且形成不同的实施例。例如,在本发明的权利要求书中,所要求保护的实施例的任意之一都可以以任意的组合方式来使用。It will be understood by those skilled in the art that although some of the embodiments described herein include certain features, but not others, included in other embodiments, that combinations of features of the different embodiments are intended to be within the scope of the present invention And form different embodiments. For example, in the claims of this invention, any of the claimed embodiments may be used in any combination.
至此,已经结合附图所示的优选实施方式描述了本发明的技术方案,但是,本领域技术人员容易理解的是,本发明的保护范围显然不局限于这些具体实施方式。在不偏离本发明的原理的前提下,本领域技术人员可以对相关技术特征作出等同的更改或替换,这些更改或替换之后的技术方案都将落入本发明的保护范围之内。So far, the technical solutions of the present invention have been described with reference to the preferred embodiments shown in the accompanying drawings, however, those skilled in the art can easily understand that the protection scope of the present invention is obviously not limited to these specific embodiments. Without departing from the principle of the present invention, those skilled in the art can make equivalent changes or substitutions to the relevant technical features, and the technical solutions after these changes or substitutions will fall within the protection scope of the present invention.
Claims (10)
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